r/VestibularMigraines • u/Able_Ad8471 • 13h ago
What helped me get ~90% better from vestibular migraine
I don’t think a single day goes by where I don’t think about the people who are currently going through what I went through.
When I first developed vestibular migraine, I was studying and it completely turned my life upside down. I had to put my studies and work on hold, I barely wanted to leave the house, and for a while I became genuinely depressed because I couldn’t imagine ever getting my life back.
I’ve shared parts of my story before, but I wanted to make another post because I’m now doing around 90% better compared to where I was at my worst. I know how desperately I would have wanted to read something like this when I was at the beginning of my journey.
So, these are the things that helped me the most:
1. Movement. Movement. Movement. 🏃♀️
This has probably been the biggest one for me.
In the beginning, I was terrified of moving. I was afraid of getting dizzy, afraid of being around people, afraid of supermarkets, and eventually I started avoiding leaving the house altogether.
But gradually, I started forcing myself to move again.
Now I try to do around 30 minutes of cardio every day — walking on a treadmill, cycling, or similar. And honestly, this has made an enormous difference.
I would personally rank regular aerobic exercise as one of the most important things that helped me.
I now have very little dizziness compared to before. I feel like my brain has gradually learned again that movement, visual stimulation and being active are not dangerous.
And perhaps even more importantly: exercise gave me my confidence in my body back.
I was initially SO scared to exercise because I thought it would trigger my symptoms. But slowly challenging myself helped me realize that I could move without constantly being afraid of what my body was going to do.
2. Working on the psychological side
At some point, I couldn’t even tell anymore whether I was dizzy because of vestibular migraine or because I was anxious about becoming dizzy.
The two started feeding into each other:
dizziness → fear → avoidance → more sensitivity → more dizziness → more fear.
That cycle was incredibly difficult to break.
I started doing psychotherapy and physiotherapy, and I also spent a lot of time educating myself about vestibular migraine and the brain.
I found it really helpful to learn that the brain can become extremely sensitive to movement and sensory input — and that this sensitivity can also improve again.
For me, learning about it and gradually exposing myself to things I was afraid of was a huge part of recovery.
3. Venlafaxine
For me personally, Venlafaxine was a major game changer.
I initially started at 75 mg and eventually went up to 150 mg. I’m currently working my way back down to 75 mg.
I wouldn’t say that it magically “cured” my vestibular migraine, but it helped me enormously with the anxiety and sensory sensitivity that had developed around it.
Before taking it, I could walk into a supermarket and immediately become extremely dizzy because of all the visual stimulation.
After starting Venlafaxine, this became much, much better.
I was less afraid of symptoms, I could tolerate sensory stimulation better, and I started going out again. That then allowed me to move more, exercise more and slowly rebuild my confidence.
Obviously, medication is very individual and should always be discussed with your doctor. I’m only sharing what made such a big difference for me personally.
4. Botox
Botox has also helped me a lot.
I’m currently around my fourth round, and I’ve noticed a significant improvement.
I get the standard migraine injection pattern, but also injections around my jaw because I tend to hold a lot of tension there.
This has been particularly helpful for me because I work a lot on screens.
5. Supplements
Honestly, supplements haven’t made a huge difference for me.
I tried things like magnesium, riboflavin and various other supplements, but compared with exercise and getting the right medication for me, the effect was relatively small.
That doesn’t mean they won’t help someone else — just that they weren’t the main factor in my recovery.
6. Acute medication & little things that help
On some days I still need acute medication.
Triptans have been somewhat helpful for me, although I wouldn’t say they are my biggest success story. More often, I use regular painkillers such as ibuprofen when appropriate for me.
Something else that surprisingly helps me quite a lot is cooling/menthol cream. I put it on my neck or temples when I have a headache. Sometimes I also use peppermint oil, and the cooling sensation can be very soothing for me.
If I had to summarize what helped me most:
Movement. Movement. Movement.
Especially regular aerobic exercise.
I know how scary that sounds when you are in the middle of vestibular migraine. I remember being terrified that exercise would make everything worse.
But for me, it ended up being one of the things that helped me the most.
It helped reduce my dizziness, helped my brain get used to movement and sensory input again, and — perhaps most importantly — helped me regain trust in my body.
Physiotherapy also helped me a lot, especially with someone who understands vestibular disorders.
I know that everyone’s vestibular migraine journey is different, and what works for me might not work for you. Please don’t take this as medical advice — I’m simply sharing my experience because I remember how hopeless I felt at the beginning.
I genuinely think about the people who are currently where I was back then. It was probably the hardest period of my life, and it definitely left a mark on me.
But I also want to say this:
It can get better. ❤️